MEDICARE: YELLOWSTONE THERAPY CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225X00000X	Occupational Therapist	1066	MT

General Provider Information

NPI Number	:	1821475807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YELLOWSTONE THERAPY CENTER LLC

Provider Business Mailing Address
First Line	:	PO BOX 81703
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59108-1703
Country	:	US
Telephone Number	:	406-534-2087
Fax Number	:

Provider Business Practice Location Address
First Line	:	2747 ENTERPRISE AVE STE 5
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-7412
Country	:	US
Telephone Number	:	406-234-2087
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATIVE BILLING SPECIALIST
Name	:	LINDSEE JENSEN
Credential	:
Telephone Number	:	406-534-2087

Provider Enumeration Date	:	04/29/2015
Last Update Date	:	01/26/2024

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Directions to “YELLOWSTONE THERAPY CENTER LLC ” Practice Location

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